Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
5972 - Payer ID
9166 - Also listed as Yale University Health Plan
Coverage states
Connecticut.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan around transaction gaps
- Send medical claims as 837I or 837P, selecting the format that matches the institutional or professional service.
- Check eligibility through a payer-approved method outside Hero EMR because 270/271 transactions are not supported.
- Track claim progress outside Hero EMR because 276/277 claim-status transactions are unavailable.
- Complete payer enrollment before expecting 835 ERA files, and plan for manual remittance handling until enrollment is finished.
- Arrange payment through a separate process if needed because EFT and combined ERA plus EFT are not supported.
Common questions
Can I submit 837I and 837P claims electronically?
Yes. This payer supports electronic institutional claims through 837I and professional claims through 837P.
Does this payer support electronic remittance advice?
Yes, but the practice must complete payer enrollment first. ERA is supported as an 835 transaction after enrollment.
Can I check eligibility or claim status electronically?
Not through the supported transactions for this payer. Eligibility and benefits 270/271 and claim status 276/277 are unavailable, so use a payer-approved alternative.
Does this payer support dental claims or EFT?
No. Dental claims through 837D, EFT, combined ERA and EFT, and coordination of benefits 271 are not supported.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
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